Web-Based Conversational Assistant After Total Knee Arthroplasty

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWojciech Sroga

About this trial

Total knee arthroplasty (TKA) is one of the most frequently performed elective orthopaedic procedures. Following hospital discharge, patients must manage pain, wound care and home rehabilitation with limited professional support. This pragmatic randomised pilot trial will evaluate whether a web-based conversational postoperative assistant, used in addition to standard care, improves patient satisfaction and exercise adherence during the first 6 weeks after TKA. Forty to sixty patients undergoing primary elective TKA will be randomised 1:1 to standard care with or without access to the conversational assistant. The primary outcome is overall patient satisfaction at 6 weeks. Secondary outcomes include pain intensity, exercise adherence, unplanned healthcare contacts and postoperative complications.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 years.

Primary, unilateral, elective total knee arthroplasty (TKA).

Discharged to home following surgery.

Ability to use a smartphone or tablet with internet access (patient or caregiver).

Disqualifiers

Revision or bilateral simultaneous TKA.

Major postoperative complication precluding home discharge (e.g., admission to intensive care, unplanned return to theatre, or haemodynamic instability).

Severe cognitive impairment precluding informed consent or device use.

No access to an internet-enabled device.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Web-based conversational postoperative assistant

    Behavioral

    Participants assigned to the intervention group receive access to a web-based conversational assistant for 6 weeks after primary total knee arthroplasty. The assistant provides evidence-based postoperative education, recovery guidance, answers to common patient questions, and safety-oriented recommendations. It is available on demand and complements, but does not replace, standard postoperative care.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: InterventionExperimental treatment 1 intervention
Group B: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Overall Patient Satisfaction

Overall patient satisfaction measured using an 11-point Numeric Rating Scale (NRS), where 0 indicates not satisfied at all and 10 indicates completely satisfied.

Time frame
6 weeks after total knee arthroplasty

Secondary outcomes

1

Pain Intensity

Pain intensity measured using an 11-point Numeric Rating Scale (NRS), where 0 indicates no pain and 10 indicates the worst imaginable pain.

Time frame
2 weeks and 6 weeks after total knee arthroplasty
2

Exercise Adherence

Exercise adherence assessed as the percentage of prescribed home exercise sessions completed, based on the participant's exercise diary.

Time frame
During the first 6 weeks after total knee arthroplasty
3

Unplanned Healthcare Contacts

Number of unplanned healthcare contacts related to the operated knee, including primary care visits, emergency department visits, outpatient consultations, and hospital readmissions.

Time frame
During the first 6 weeks after total knee arthroplasty
4

Postoperative Complications

Occurrence of postoperative complications related to the surgical procedure.

Time frame
During the first 6 weeks after total knee arthroplasty

Other outcomes

Sponsors and contacts

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Wojciech Sroga

Lead sponsor

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Sponsor institution

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